Individual
MR. THOMAS BRIAN FLOREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIMHP/LADC, CSOTS
Contact information
Practice address
2315 W 39TH ST STE 111, KEARNEY, NE 68845-8327
(308) 218-6045
(308) 395-7310
Mailing address
2121 N WEBB RD STE 101, GRAND ISLAND, NE 68803-1751
(308) 218-6045
(308) 395-7310
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2110
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
1177
NE
101YM0800X
Mental Health Counselor
2110
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1177
LICENSE DRUG AND ALCOHOL
NE
01
—
2110
INDEPENDENT MENTAL HEALTH LICENSURE
NE
Enumeration date
07/18/2013
Last updated
10/01/2025
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